NPIMap

Organization Active NPI

Albemarle Regional Health Services

  • State or Local Public Health Clinic/Center
  • Elizabeth City, NC
National Provider Identifier
1467536920
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
ALBEMARLE REGIONAL HEALTH SERVICES
Practice address
711 Roanoke Ave
Elizabeth City, NC 27909-5643
Phone
(252) 338-4404
NPI assigned
Oct 24, 2006
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jerry L Parks, MPH
Title
Health Director
Phone
(252) 338-4404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

711 Roanoke Ave
Elizabeth City, NC 27909-5643

Mailing address

PO Box 189
Elizabeth City, NC 27907-0189

Other identifiers 1

IdentifierTypeStateIssuer
3404408MedicaidNC

Other names 1

  • ARHS - Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Albemarle Regional Heal22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1467536920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279070189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ROANOKE AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095643",
            "telephone_number": "252-338-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE REGIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-338-4404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404408",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARHS - Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.